澳大利亚警方对在短期拘留所提供医疗保健服务的经济考量的看法。

IF 1.5 4区 医学 Q1 LAW Medicine, Science and the Law Pub Date : 2024-07-01 Epub Date: 2023-09-10 DOI:10.1177/00258024231198915
Caitlin Brandenburg, Julia Crilly, Stuart Thomas, Paul Gardiner, Stuart A Kinner, Ed Heffernan, Cathy Lincoln, Annabel Somerville, Peter Davidson, Daniel Wilson, David Green, Joshua Byrnes
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引用次数: 0

摘要

由于被拘留者健康需求的复杂性和拘留环境的局限性,为短期警察拘留所(即看守所)中的人员提供适当的医疗保健服务具有挑战性。然而,人们对澳大利亚如何管理被拘留者的医疗保健却知之甚少,其中包括经济方面的考虑。本研究有两个目的:(1) 了解警方对澳大利亚昆士兰看守所被拘留者医疗保健服务相关成本的看法;(2) 确定监狱医疗保健支出报告清单 (PHERC) 工具在澳大利亚看守所的适用范围。研究采用了探索性定性描述方法。在 2021 年 4 月至 11 月期间,对来自澳大利亚昆士兰州六个地区的 16 名看守所工作人员进行了采访。一项重要发现是,警方认为医疗保健支出是澳大利亚看守所的一项主要成本,但在很大程度上是不可避免的。参与者报告称,直接支出主要包括内部医疗保健服务(有多种模式),也包括药物和医疗相关消耗品的费用。间接成本包括护送和看守需要转院接受健康评估和治疗的被拘留者的费用。与会者报告说,PHERC不适用于澳大利亚看守所的情况。未来的研究应探讨不同看守所医疗保健服务模式的成本效益,以及衡量成本效益的最佳方法。
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Police perspectives on the economic considerations of providing healthcare in short-term custodial settings in Australia.

Providing appropriate healthcare to people in short-term police custody settings (i.e. watch-houses) is challenging due to the complexity of detainee health needs and the limitations of the custodial environment. However, little is known about how detainee healthcare is managed in Australia, including economic considerations. This study had two aims: (1) to understand police perspectives on the costs associated with the delivery of healthcare to watch-house detainees in Queensland, Australia and (2) to scope the applicability of the Prison Healthcare Expenditure Reporting Checklist (PHERC) tool for the Australian watch-house context. The study employed an exploratory qualitative descriptive approach. A purposive sample comprised 16 watch-house staff from six regions in Queensland, Australia, interviewed between April and November 2021. A key finding was that police viewed healthcare expenditure as a major, but largely unavoidable cost for Australian watch-houses. Participants reported that direct expenditure comprised mostly of in-house healthcare services (of which there were a variety of models), but also costs of medication and health-related consumables. Indirect costs included costs of escorting and guarding detainees requiring transfer to hospital for health assessment and treatment. Participants reported that the PHERC was not applicable to the Australian watch-house context. Future research should explore the cost-effectiveness of different watch-house healthcare delivery models and how best to measure this.

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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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